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Lipidemic profile changes over a two-year intervention period: Who benefited most from the feel4diabetes program?

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posted on 10.02.2021, 02:35 by K Karatzi, George Moschonis, E Botsi, S Liatis, K Tsochev, P De Miguel-Etayo, J Kivelä, K Wikström, R Dimova, E Antal, I Lamiquiz-Moneo, I Rurik, G Cardon, V Iotova, K Makrilakis, Y Manios
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Identification of participants’ characteristics who benefited most from large community-based intervention studies may guide future prevention initiatives in order to maximize their effectiveness. The current study aimed to examine the socio-demographic, anthropometric, and behavioral characteristics, as well as the health and eating perceptions of those who improved their lipidemic profile, in the Feel4Diabetes early screening and prevention program. In the present analyses, 1773 adults from families at high risk for developing type 2 diabetes mellitus (T2DM) were enrolled, receiving either the standard care or the more intensive intervention, and 33.3–55.2% of them improved one or more of their lipidemic indices by >5%. Women, people living in Southeastern Europe, coming from two-parent families, having higher financial security, educational level and better diet quality were associated with a 27–64% higher likelihood for benefiting from the program regarding one or more of their lipidemic profile indices. Participants who were overweight or obese (especially with central obesity), employed, with prolonged sedentary behavior, prone to emotional eating and perceiving their weight status as lower than their actual weight were 24–43% less likely to have benefited. These findings should guide future interventions, prioritizing regions in greater need, and being tailor-made to specific population characteristics in order to further improve their effectiveness.

Funding

The Feel4Diabetes study has received funding from the European Union's Horizon 2020 research and innovation program (grant agreement: n 643708). The content of this article reflects only the authors' views and the European Community is not liable for any use that may be made of the information contained therein.

History

Publication Date

01/12/2020

Journal

Nutrients

Volume

12

Issue

12

Article Number

ARTN 3736

Pagination

(p. 1-16)

Publisher

MDPI

ISSN

2072-6643

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.

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